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04379 (SFD)A, 1 , P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 52`565 nomu as -LA QUINTA, CALIFORNIA 92253 Owner Jahn Vela Jr. Mailing Address City Zip Tel. Contractor 8 amc Address Tel. State Ljc. Ii.# 458 - & Classif. 337559 Lc Arch., Engr., Designer Address Tel. City( Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after• improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code• or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). ❑ I, as owner of the properly, or my employees with wages as their -sole compensation, will do the work, and the structure is not intended or offered for sale.'(Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason 1 �} r Datel2-.� r F Owner : ✓!h '�'� 1 i } f•�1/. WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip (j,N•I BUILDING: TYPE CONST. • OCC. GRP. A.P. Number 773--305-1015 Legal Description Project Description S. F • D. . 04371 1 WHITE - FINANCE,PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE Sq. Ft. 1330 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 8981 Garage Estimated Valuation $74,681 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. Const. X58.00 <• Mech. 36.00 t Electrical 73.22 ' Plumbing 105.00 S.M.I. 5.22 Grading 20.00 Driveway Enc. 20.00' . Infrastructure r TOTAL 42r ti.',iq . U7 r REMARKS Yat LY1.:Y! .t tix�tcr.. ..,....•.... ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 7/28 88 Issued by: Date Permit Validated by: Validation: 1 WHITE - FINANCE,PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ....� ISI FL. SO FT rp S UNITS SLAB GRADE — ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT.q FORMS EWER OR SEPTIC ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO F -T a GAS (ROUGH) G F�METER LOOP . HEATING (FINAL) OUTLET ROOF DRAINS GAR SO. FT. aPOWER y GROUT DRAINAGE PIPING CAR P. 50 FT. a FINAL INSP. WALL SO. FT. Ia WATER SYSTEM DRINKING FOUNTAIN GRADING cu. yd. $ plus z$ _$ URINAL 50. FT. fd FRAMING FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ 67 FOUL r T �N 6INSULATIONISOUND WATER PIPING NOTE: Not to be used as property tax valuation - FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTONDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL &dl NAL INSPECTION SO.FT.GAR @ 3/ac HOUSE SEWER CERT. OCC. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR kc -SETBACK c—,12 � ROUND PLUMBIpS — UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE — ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR SEPTIC ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) G F�METER LOOP . HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL G _ AS (FINAL)// TEMP. POLE / y GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus z$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. //��teROOFING _ 67 FOUL r T �N 6INSULATIONISOUND REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR* GAR. FIREWALL LATHING MESH 1 — r v� FINISH GRADING &dl NAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL W-11 BUENA ENGINEERS, INC. 17A A Walter Street VENTURA, CALIFORNIA 93003 1W DAILY FIELD REPORT GRADING JOBNo. or P.O. No. J` a � h -7 -0.7 I r2 ! PAGE l or l ECT NAME h CLIENT OR OWNER DAILY FIELD REPORT SEQUENCE NO. RAL LOCATION OF WORK F OWNER OR CLIENT'S REPRESENTATIVE DATE 91IJ DAY OF WEEK 7-.A ERAL CONTRACTOR r-T4Tr r (!,-III-T4- GRADING CONTRACTOR PROJECT ENGR. YPE OF WORK TYPE J1, ' I 1�- P"_.I GRADI NG CONTRACTOR'S SUPERINTENDENT OR FOREMAN SUPERVISOR SOURCE AND DESCRIPTION OF FILL MATERIAL WEATHER A, "r TECHNICIAN a1f e> KEY PERSONS CONTACTED (Civil Engr., Architect, Developer, etc.) TEST TEST LOCATION, NUMBER Wl FIELDTESTING REFERENCECURVE ELEVATION DRY MOISTURE % OF COMP. MAXIMUM OPTIMUM COMMENTS DENSITY CONTENT MAXIMUM CURVE DRY MOISTURE lbs./Cu. ft. / DRY NO DENSITY CONTENT DENSITY lbs./cu. ft. --3 omi=t' zt= I SGS. /v. -7 9,-J DESCRIBE EQUIPMENT USED FOR HAULING, SPREADING, WATERING, CONDITIONING, AND COMPACTING. NOTES: (Describe work completed during the day; .,any ,.problems and their solution) �r _J- PEir�i-t.art,¢�t" n.r p- /r�i�.i G� �--Sr�1Cfti( �•*I 7�• .���i<-r,....c.�..-ti Av�r GTS! ,'Yi'!.''C 4�C��� /✓/ L� / /117.�t -[�[-t�^-Gt- �^T� �G�-c'ff< u CONTINUED I I WHITE COPY TO OUR FIELD FOLDER CANARY COPY SENT TO CLIENT f_1 PINK COPY TO PROJECT ENGINEER COPY GIVEN TO: REPORT BY: DAILY FIELD REPORT r j Building Addres ` OwnPr ` , LJ o ,, y � I/1 3Tavl :3 +rAp 's��:2N0? —_--� - -% P.O. Box 1504j �� � - — - : APPLICATION ONLY -- - ' i 78-105 CALLE ESTADOlei LA QUINTA, CALIFORNIA 92253 , _ 77; - 3 0-J Mallin _ _. BUILDING: TYPE CONST. OCC. GRP. - 9 -� � r i I Address J A.P.-Nurriber J City ( Legal Descriptio - _ Project Description 61 a � I•a '" t64 n ✓N G� City Zip Tel.. State Lic. City _ ' 8 Classif. 3 �� �, Lic. # �� - Sq. Ft. J 3D No. No. Dw. Size- -Stories - Units Arch., Engr., Designer New t Add ❑ Alter ❑ Repair ❑ - "Demolition ❑ 4 Address Tel. 1 , City Zip State - - - - - Lic. # t IACENSED CONTRACTOR'S DECLARATION I hereby affirm t ' f I a licensed under rovI Ions, of Chapter 8 (commencing with Section . 7000) of Division lot t usiness an P feselons Code, and my license Is In full force and , effect. , ),..: . L — i 1 1 DATE I OWNER• UILDER DECLARATION I hffirdn that I am exempt from the Contractors License Law for the following ere reason: (Sec. 7031.5,Busihess and Professions Code: Any db' or county which requires a any structure, prior to Its Issuance also _ _ pgrmh to construct, alter, Improve, demolish, or ad statement -requires �Nen of tint ►n�ctto��ense�law"Keeper 9 (Commen�g with Sectition�7000) of --b stn 3l Business M�1�auon oosectionma7031 he s by'a'anty�q�ilcani for crebasis pe subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will -do the work, and the structure is not Intended or offered for sale. (Sec. 7041, Buisness and Code: The Contractor's License Lew does not appy to an owner o1 property who _ builds or improves thereon and who does such work himself or through his own employees,.-Mech. provided that such Improvements are not Intended or offered for sale. if, however, the building or Improvement Is sold within one year of corrIoletlon, the owner-bu9der will have the burden • of proving that he did not bolo or improve for the purpose of sale.) .. . Estimated Valuati l 11 (/ PERMIT - ... - - - AMOUNT Plan Chk. Dep. p - -- Plan Chk. Bal. 'Z S Const. -+" — .. _ _ 6 co Electrical 73 , Z.Z Plumbing 0 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law - -does not appy to an owner of property who builds or Improves thereon, and who contracts for -S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -❑ 1 -am exempt under Sec -- ti P.C.-tor this reason - GradingQG Driveway Enc. ,. , ev Data—)owner r ' f - Infrastructure - '--- - - - - - - ms's - - - � - - - �WORKERS' COMPENSATION DECLARATION f J hereliy',effinn that I have a certificate of consent to self -Insure, Ora certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sac. 3800, Labor Code.) , _..Policy No Company ` ❑ Copy is flied with the city. ❑ Certified copy Is hereby furnished. - - TOTAL S CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS -{Ttda section need not be completed n the permit Is for aro hundred dollars ($100) valuation or less.) _ 1 certify that in the perfomtano of,th@ work for which this permit Is Issued, I shall not =any rson In any manngr so As,to become subj to the Workers' Compensation _ laws of Caufarrda. Date_ Owner tI -!_ j _NOTTCEE =_APPLJCANT. It, after makkp M CertNlcate of Exemption you should become sub)ect to-the^1Mmlrers' CorrMensation provisions of a tabor Code, you must forthwith _com* with such prov or this permit shall be deemed revoked. ^ JQ P9117 0?-Q2-R.R U CASH O ZONE: Minimum Setback Distances: BY: - - — - - -- I Front Setback ffom` Center Line — - Rear Setback from Rear Prop. Line -- - W - -__. _-=NSTAUCTION LENDING AGENCY Side Street Setback from Center Line hereby affirm that there Is a construction lending agency for the performance of the workfor winch this permit Is Issued. (sec. 3097, Civil Code.) -- - Side Setback from Property Line Lender•s.-Name Lender's Address This Is a building permit when properly filled ont-signed amid validated, and Is subject to expiration If work thereunder is suspended for 180 days. - I certify that I have read this application and state That theabove Information is correct. I agree to comply with all city and county ordinances and state laws relating to building -construction, and hereby authorize representatives -of -this city to enter the above-.- mentlaned property for Inspection purposes E -- —^- --- FINAL DATE Issued by: Validated by: INSPECTOR -- - -- Date Permit. Signature of applicant Date -#failing Address--- - - - - -- -- - - -Validation:-,- - - - - r --- ---- — - — City, State, Zip BUILDING DIVISION Building Address T4hf �� SME s�- 9a s ula,ttar� P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner J / " a HAI �/ FG tl BUILDING: TYPE CONST. OCC. GRP. A.P. Number -7 7 3'. - Mailing Address City Zip Tel. ? Legal Description Project Description S. /—r r Contractor Address City Zip Tel.. State Lic. City & Classif. �j 7 G j Lic. # Y( Sq. Ft. 2No. No. Dw. Size I f 3 0 Stories - Units Arch., Engr., i Designer �. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip - State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a permit to construct, after, Improve, demolish• or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building . or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 5 O , Q Q Plan Chk. Bal. Const. Mech. Electrical ' Plumbing ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. 8 P.C. for this reason S.M.I. Grading Driveway Enc. Dale Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. O Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. REMARKS r rc n , ren e i j A 17 AA, � �( � I1TAl Date Owner NOTICE TO APPLICANT: It, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Street Setback from Center Line Side Setback from Property Line Lender's 'Name FINAL DATE INSPECTOR Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Issued by: Date Permit Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip BUILDING DIVISION CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. ® BONDING YARD SPKLR SYSTEM_ POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. FT. ® GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APP./EQUIP. DRINKING FOUNTAIN SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM I IKITCHEN SINK ABSORPTION SYSTEM. B.T.U. I TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/a c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/ac HOUSE SEWER LATHING GAS PIPING PERMIT FEE MESH PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL